Nursing homeActive
Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 287548286895200100 certified beds · 85 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
5
● 0● 4● 1
Penalties · 3 yrs
$9,110
1 fine
Last survey
2026-02-11
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-11 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-08-27 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-11-15 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-30 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 345206-20260211-F812
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 345206-20250827-F600
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-16Record 345206-20241115-F812
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 345206-20230830-F554
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 345206-20230830-F693
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-27 | Civil money penalty | $9,110 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.67
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.60
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.02
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover38%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover29%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.1% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 1.3% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.3% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.4% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 29.3% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Sprenger, Christopher Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Ardent Health And Rehabilitation Co Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Madison Healthcare Properties, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Niebes, Haley Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Sanstone Health & Rehabilitation — 18 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Madison.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Elderberry Health Care Marshall | 7.2 mi | 2025-11-19 | 380 |
| The Greens at Weaverville Weaverville | 9.2 mi | 2026-06-12 | 060 |
| Bear Mountain Health and Rehabilitation Asheville | 13.2 mi | 2025-12-30 | 2110 |
| Emerald Ridge Health and Rehabilitation Asheville | 13.2 mi | 2026-04-09 | 2282 |
| River Bend Health and Rehabilitation Asheville | 15.5 mi | 2026-02-26 | 3427 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |